Highly increased blood pressure following stellate ganglion block: A case report.
- Author:
Cheong LEE
1
;
Dong Ho PARK
;
Young Ju KIM
;
Ji hyun CHUNG
;
Jinhwan HWANG
;
Jaekyu RYU
Author Information
1. Department of Anesthesiology and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea. donghop6212@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Carotid sinus;
Increased blood pressure;
Stellate ganglion block
- MeSH:
Anesthetics, Local;
Blood Pressure;
Carotid Sinus;
Head;
Hemodynamics;
Humans;
Neck;
Stellate Ganglion;
Upper Extremity;
Vagus Nerve
- From:Anesthesia and Pain Medicine
2011;6(3):221-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Stellate ganglion block (SGB) is a procedure that is widely used for many diseases associated with sympathetically-maintained pain in the head, neck, and upper extremities. Various hemodynamic changes may occur after SGB. Among them, we experienced two patients who developed highly increased blood pressure after SGB. We suspect that the spread of local anesthetics produced parasympathetic blockade of the vagus nerve, an imbalance between the sympathetic and parasympathetic activities and deafferentiation of the glossopharyngeal and vagus nerve, which both innervated the carotid sinus, as the mechanism of this increased blood pressure.
